Meredith A Radke RD

NPI 1629254628 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1629254628
Gender Female
Enumeration Date 01/21/2008
Last Updated 01/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
400 NE MOTHER JOSEPH PL
VANCOUVER WA, 98664-3200, US
Phone (360) 514-4268
Fax (360) 514-3590
Business Location
5627 SE 62ND AVE
PORTLAND OR, 97206-5411, US
Phone (360) 514-4268
Fax (360) 514-3590
Toxanomy
Taxonomy Code 133V00000X
License State Washington
License Number DI00001776
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According to our database, Mrs. Meredith A Radke RD NPI is 1629254628, taxonomy code is 133V00000X and license number is DI00001776, license state is located at Washington. Meredith A Radke RD physically located at 400 Ne Mother Joseph Pl, Vancouver WA, 98664-3200. NPI Number Meredith A Radke RD has the Individual type.

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1629254628 NPI number is provided on an as is basis without warranty of any kind. 1629254628 is maintained by the National Plan & Provider Enumeration System. The contents of Meredith A Radke RD are for informational purposes only.